Individual
ASHLEY CLARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6621 PACIFIC COAST HIGHWAY, LONG BEACH, CA 90803
(562) 270-6344
Mailing address
1555 MESA VERDE DR E, APT 17 D, COSTA MESA, CA 92626-5120
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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